| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
33,430 |
13,382 |
$1.11M |
| 99214 |
|
11,269 |
11,142 |
$946K |
| 99213 |
|
14,907 |
14,523 |
$865K |
| 97530 |
|
20,748 |
10,450 |
$546K |
| 64635 |
|
746 |
730 |
$269K |
| 99204 |
|
1,843 |
1,836 |
$223K |
| 64484 |
|
822 |
814 |
$223K |
| 64493 |
|
1,168 |
1,126 |
$217K |
| 64636 |
|
742 |
730 |
$212K |
| T1999 |
Noc retail items andsupplies |
56 |
56 |
$196K |
| 27096 |
|
1,290 |
1,236 |
$166K |
| 64483 |
|
817 |
811 |
$162K |
| 97162 |
|
2,666 |
2,661 |
$159K |
| L0631 |
Lso sag r an/pos pnl pre cst |
315 |
313 |
$127K |
| 64494 |
|
1,149 |
1,123 |
$108K |
| 64490 |
|
429 |
400 |
$108K |
| 64495 |
|
1,097 |
1,067 |
$105K |
| 99358 |
Prolong nursin fac eval 15m |
896 |
888 |
$94K |
| S0020 |
Injection, bupivicaine hydro |
9,219 |
8,457 |
$92K |
| 97140 |
|
4,894 |
2,129 |
$89K |
| 95886 |
|
413 |
396 |
$60K |
| 97010 |
|
33,881 |
13,705 |
$57K |
| J0702 |
Betamethasone acet&sod phosp |
2,738 |
2,705 |
$53K |
| 64491 |
|
425 |
397 |
$53K |
| 64492 |
|
406 |
379 |
$51K |
| 20552 |
|
1,340 |
1,326 |
$49K |
| G0283 |
Elec stim other than wound |
5,176 |
2,177 |
$44K |
| 97014 |
|
5,125 |
2,420 |
$43K |
| 97161 |
|
694 |
685 |
$39K |
| 97112 |
|
1,699 |
900 |
$36K |
| J3301 |
Triamcinolone acet inj nos |
5,246 |
4,956 |
$30K |
| 99491 |
Ccm add 20min |
582 |
581 |
$29K |
| 95911 |
|
136 |
130 |
$21K |
| 99203 |
|
218 |
208 |
$19K |
| 76942 |
|
173 |
169 |
$17K |
| 99152 |
|
443 |
443 |
$17K |
| 95938 |
|
52 |
52 |
$13K |
| 99212 |
|
269 |
267 |
$11K |
| 20610 |
|
168 |
164 |
$11K |
| 76881 |
|
116 |
110 |
$9K |
| 77002 |
|
169 |
169 |
$9K |
| 20606 |
|
91 |
87 |
$8K |
| 95923 |
|
65 |
62 |
$6K |
| 64633 |
|
16 |
15 |
$6K |
| 64634 |
|
16 |
15 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
412 |
412 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
5,835 |
5,324 |
$3K |
| 95921 |
|
53 |
50 |
$3K |
| 93922 |
|
33 |
32 |
$3K |
| 99354 |
|
20 |
19 |
$2K |
| 99072 |
|
1,888 |
1,804 |
$2K |
| 01936 |
|
30 |
30 |
$1K |
| 99202 |
|
24 |
24 |
$757.92 |
| 99000 |
|
734 |
702 |
$698.34 |
| 99490 |
Ccm add 20min |
41 |
41 |
$570.11 |
| G2012 |
Brief check in by md/qhp |
49 |
30 |
$294.60 |
| G2058 |
Ccm add 20min |
27 |
27 |
$233.20 |
| 96103 |
|
35 |
35 |
$216.06 |
| 99211 |
|
16 |
16 |
$170.86 |
| J1100 |
Dexamethasone sodium phos |
131 |
131 |
$99.32 |
| J2250 |
Inj midazolam hydrochloride |
81 |
81 |
$85.82 |
| 97139 |
|
293 |
287 |
$0.84 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
103 |
98 |
$0.45 |
| G8417 |
Calc bmi abv up param f/u |
642 |
629 |
$0.16 |
| G8730 |
Pain doc pos and plan |
5,477 |
5,203 |
$0.11 |
| G8427 |
Docrev cur meds by elig clin |
1,192 |
1,153 |
$0.00 |
| 3288F |
|
353 |
353 |
$0.00 |
| G8978 |
Mobility current status |
451 |
309 |
$0.00 |
| G8979 |
Mobility goal status |
122 |
122 |
$0.00 |
| G9500 |
Rad expos ind/exp tm doc |
153 |
152 |
$0.00 |
| G8731 |
Pain neg no plan |
27 |
27 |
$0.00 |
| A4550 |
Surgical trays |
13 |
13 |
$0.00 |
| 1036F |
|
821 |
797 |
$0.00 |
| G8981 |
Body pos current status |
12 |
12 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
231 |
231 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
17 |
17 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
12 |
12 |
$0.00 |